Modern investigations of social cognition in schizophrenia



This article describes the modern state of problem social cognitive deficits in schizophrenia. Different theoretical positions of investigators about these dysfunctions have predicted many interesting results and models. This article brings together the cutting-edge work of distinguished investigators who have developed and tested social cognitive models of schizophrenia. Social skills, theory of mind skills, emotion's recognition, and understanding of social situations are seriously impaired in persons with schizophrenia. The authors review the evidence for the importance of social cognition in the understanding of schizophrenia.

General Information

Keywords: schizophrenia, social cognition, social perception, “theory of mind”, social anhedonia.

Journal rubric: Research Reviews

Article type: review article

For citation: Rychkova O.V. Modern investigations of social cognition in schizophrenia. Konsul'tativnaya psikhologiya i psikhoterapiya = Counseling Psychology and Psychotherapy, 2013. Vol. 21, no. 1, pp. 63–89. (In Russ., аbstr. in Engl.)


  1. Alfimova M.V. Semanticheskaja verbal'naja beglost': normativnye dannye i osobennosti vypolnenija zadanija bol'nymi shizofreniej // Social'naja i klinicheskaja psihiatrija. 2010. № 3. C. 20—25.
  2. Velichkovskij B.M. Kognitivnaja nauka: Osnovy psihologii poznanija: V 2 t. — T. 1. — M.: Smysl: Izdatel'skij centr “Akademija”, 2006. 448 s.
  3. Gurovich I.Ja., Shmukler A.B., Storozhakova Ja.A. Psihosocial'naja terapija i psihosocial'naja reabilitacija v psihiatrii. M: Medpraktika, 2004. 492 s.
  4. Loskutova V.A. Social'nye kognitivnye  funkcii pri shizofrenii i sposoby terapevticheskogo vozdejstvija. // Social'naja i klinicheskaja psihiatrija. 2009. № 4, S. 92—104.
  5. Mihajlova (Aleshina) E.S. Metodika issledovanija social'nogo intellekta. Rukovodstvopo ispol'zovaniju. SPb.: GP “Imaton”, 1996
  6. Holmogorova A.B. Narushenija refleksivnoj reguljacii poznavatel'noj dejatel'nosti pri shizofrenii. Diss. … kand. psihol. nauk. — M., 1983. — 219 s.
  7. Abu-Akel  A. 1999. Impaired theory of  mind  in  schizophrenia. Pragmatics and Cognition, 7: 247—282.
  8. Abu-Akel A., Bailey A.L., 2000. The possibility of different forms of theory of mind. Psychological Medicine, 30: 735—738.
  9. Alessandri M., Mundy P., Tuchman R.F. 2005. The social deficit in autism: focus on joint attention. Rev Neurol. 40 (1):137—141.
  10. Bach D.M., Dowd E.C. 2010. Goal representations and motivational drive in schizophrenia: The role of prefrontal — striatal interactions. Schizophr Bull.  36: 919—934.
  11. Baldwin D.A, Tomasello M. 1998. Word learning: A window on early pragmatic underA standing. In The proceedings of the twentyAninth annual child language research forum Ed. E.V.Clark, 3—23. Stanford: Center for the Study of Language and Information.
  12. Baron-Cohen S., Leslie A.M., Frith U. 1985. Does the autistic child have a 'theory of mind'? Cognition. 21: 37—46.
  13. Bazin N., Perruchet P., Hardy4Bayle M.C., Feline A. 2000. ContextAdependent information processing in patients with schizophrenia. Schizophr Res, 45: 93—101.
  14. Bediou B., Asri F., Brunelin J., Krolak4Salmon P., d'Amato T., Saoud M., Tazi I. 2007. Emotion recognition and genetic vulnerability for schizophrenia. Br J Psychiatry, 191: 126—130.
  15. Bellack A.S., Morrison R.L., Wixted T.T., Mueser K.T. 1990. An Analysis of Social Competence in Shizophrenia. Br J Psychiatry.  156:209—218
  16. Blanchard J., Gangestad S., Brown S., Horan W. 2000. Hedonic capacity and schizotypy revisited: a taxometric  analysis of social anhedonia. J Abnorm Psychol, 109: 87—95.
  17. Blanchard J.J., Horan W.P., Brown S.A. 2001. Diagnostic differences in social anhedoA nia: A longitudinal study of schizophrenia and major depressive disorder. J Abnorm Psychol, 110 (3): 363—371.
  18. Bogdan R.J. 2000. Minding minds: Evolving a reflexive  mind by interpreting others. Cambridge, MA: MIT Press.
  19. Bozikas V.P., Kosmidis  M.H.,  Anezoulaki  D.,  Giannakou M.,  Karavatos  A. 2004. Relationship of affect recognition with psychopathology and cognitive performance in schizophrenia. Journal of the International Neuropsychological Society, 10 (4): 549—558.
  20. Bryson G., Bell M., Kaplan E., Greig T., Lysaker P. 1998. Affect recognition in deficit syndrome schizophrenia. Psychiatrt Res, 77:113—120.
  21. Cantor N., Harlowe R.E. 1994. Social intelligence and personality: flexible lifeAtasks pursuit / In Personality and Intelligence. Ed. R.J. Sternberg, P. Ruzgis, 137—168. New York: Cambridge University Press.
  22. Chapman L.J.,  Chapman J.P. 1978. The measurement  of  differential  deficit. J Psychiatry Res. 14: 303—311.
  23. Chapman L.J., Chapman J.P., Kwapil T.R., Eckblad M., Zinser M. 1994. Putatively psyA chosis-prone subjects 10 years later. J Abn Psychol 103:171—183.
  24. Cohen A.S., Najolia G.M., Brown L.A., Minor K.S. 2011. The stateAtrait disjunction of anhedonia in schizophrenia: potential affective, cognitive and socialAbased mechaA nisms. // Clin. Psychol. Rev. 31: 440—448.
  25. Corcoran R., Cahill C., Frith C.D. 1997. The appreciation of visual jokes in people with schizophrenia. A study of 'mentalizing' ability. Schizophr Res, 24:319—327.
  26. Corcoran R., Frith C.D. 2003. Autobiographical  memory and theory of mind: Evidence of a relationship  in schizophrenia. Psychol Med, 33:897—905.
  27. Corcoran R., Frith C.D. 1996. Conversational  conduct and the symptoms of schizophrenia. Cognitive Neuropsychiatry, 1: 305—318.
  28. Corrigan P.W., Green M.F. 1993. Schizophrenic patient's sensitivity to social cues: the role of abstraction. Am J Psychiatry,  150:589—594.
  29. Couture S.M., Penn D.L., Roberts D.L. 2006.The functional significance of social cognition in schizophrenia: a review. Schizophr Bull. 32 (l):44—63.
  30. Crow T.J. 1997. Is schizophrenia the price that Homo sapiens  pays for language? Schizophr Res, 28: 127—141.
  31. Davis P., Gibson M.G. 2000. Recognition of posed and genuine facial expressions of emotion in paranoid and nonparanoid schizophrenia.   J Abnorm Psychol, 109: 445—450.
  32. DeLisi L.E. 2001. Speech Disorder in Schizophrenia: Review of the Literature and Exploration of Its Relation to the Uniquely Human Capacity for  Language. Schizophr Bull, 27(3): 481—496.
  33. Dickinson D.,  Bellack A.S., Gold J.M.  2007. Social/Communication  Skills, Cognition,  and Vocational Functioning  in  Schizophrenia. Schizophr Bull, 33(5): 1213—1220.
  34. Dougherty F.E., Bartlett E.S., Izard C.E. 1974. Responses of schizophrenics to expressions of the fundamental  emotions. J Clin Psychol, 30: 243—246.
  35. Dworkin R.H., Bernstein M.A., Kaplansky L.M. et al. 1991. Social Competence and Positive and Negative Symptoms: A longitudinal Study of Children and Adolescent Risk for Schizophrenia and Affective Disorder. American Journal of Psychiatry,148:1182—1188.
  36. Erlenmeyer4Kimling L., Cornblatt B.A., Rock D., Roberts S. et al. 1993. The New York HighARisk  Project: anhedonia, attentional deviance, and psychopathology. Schizophr Bull. 19(1):141—153.
  37. Ford M.E.,  Tisak M.S. 1983. A further search  for social intelligence. Journal of Educational Psychology, 75: 196—206.
  38. Frith C.D. The cognitive neuropsychology of schizophrenia. Hove, U.K.:  Erlbaum. 1993.
  39. Frith C.D., Corcoran R. 1996. Exploring 'theory of mind' in people with schizophrenia // Psychol Med, 26: 521—530.
  40. Gard D.E., Kring A.M., Gard M.G., Horan W.P., Green M.F. 2007. Anhedonia in schizA ophrenia: Distinctions  between anticipatory  and  consummatory pleasure. Schizophr Res, 93: 253—260.
  41. Germans M.K., Kring A.M. 2000. Hedonic deficit in anhedonia: support for the role of approach motivation. Personality and Individual Differences, 28: 659—672.
  42. Gessler S., Cutting J., Frith C.D., Weinman J. 1989. Schizophrenic  inability to judge facial emotion: a controlled study. Br J Clin Psychol, 28: 19—29.
  43. Goghari V.M., MacDonald A.W., Sponheim S.R. 2011. Temporal Lobe Structures and Facial Emotion Recognition in Schizophrenia Patients and Nonpsychotic Relatives. Schizophr Bull, 37 (6): 1281—1294.
  44. Goldfarb R., Eisenson J., Stocker B., DeSanti S. 1994. Communicative  responsibility and semantic task in aphasia and “schizophasia.” // Perc. Motor. Skills. 79: 1027—1039.
  45. Green M.F., Bearden C.E., Cannon T.D. et al. 2012. Social Cognition in Schizophrenia, Part 1: Performance  Across Phase of Illness. Schizophr Bull. 38 (4): 854—864.
  46. Gur R.E., McGrath C., Chan R.M. et al. 2002. An fMRI  study of facial emotion processing in patients with schizophrenia. Am J Psychiatry,  59: 1992—1999.
  47. Hardy4Bayle M.C., Sarfati Y., Passerieux C. 2003. The cognitive  basis of disorganizaA tion symptomatology in schizophrenia and its clinical correlates: Toward a pathoA genetic approach to disorganization. Schizophr Bull. 29: 459—471.
  48. Heerey E.A., Gold J.M. 2007. Patients with schizophrenia demonstrate dissociation between affective experience and motivated behavior.  J Abn Psychol, 116: 268—278.
  49. Herbener E.S. 2008. Emotional Memory in Schizophrenia. Schizophr Bull. 34: 875—887.
  50. Hobson R.P. 1993. Autism and the development of mind. Hove, UK: Erlbaum.
  51. Hooley J.M. 2010. Social Factors in Schizophrenia. Curr Dir Psychol Sci, 19: 238—242.
  52. Horan W.P., Green M.F., Kring A.M., Nuechterlein K.H. 2006. Does Anhedonia in Schizophrenia Reflect Faulty Memory for Subjectively Experienced Emotions?  J Abn Psychol, 115: 496—508.
  53. Irani F., Seligman S., Kamath V. et al. 2012. A metaAanalysis of emotion perception and functional outcomes in schizophrenia. Schizophr Res, 137: 203—211.
  54. Jaracz J., Grzechowiak M., Raczkowiak L., Rybakowski J. 2010. Facial emotion recogA nition in schizophrenia: neuropsychological and psychosocial correlates. Annals of General Psychiatry, 9: 206.
  55. Katsanis J., Iacono W.G., Beiser M., Lacey L. 1992. Clinical correlates of anhedonia and perceptual aberration in firstAepisode patients with schizophrenia and affective disorder.  J Abn Psychol, 101: 184—191.
  56. Kee K.S., Kern R.S., Green M.F. 1998. Perception of emotion and neurocognitive functioning in schizophrenia: what's the link? Psychiatry Res, 81: 57—65.
  57. Kerr S.L., Neale J.M. 1993. Emotion perception in schizophrenia: Specific deficit or further evidence of generalized poor performance?  J Abn Psychol, 102: 312—318.
  58. Klein D.R. 1987. Depression and anhedonia. In Anhedonia and affect deficit states. Ed. D.C.Clark, J.Fawcett, 1—14. New York: PMA.
  59. Kline J.S., Smith J.E., Ellis H.C. 1992. Paranoid and nonparanoid schizophrenic processing of facially displayed affect. J Psychiatry Res, 26: 169—182.
  60. Kohler C.G., Turner T.H., Bilker W.B., Brensinger C.M. et al. 2003. Facial Emotion Recognition in  Schizophrenia: Intensity  Effects and Error  Pattern. Am  J Psychiatry, 160: 1768—1774.
  61. Kohler C.G., Walker J.B., Martin E.A. et al. 2010. Facial Emotion Perception in Schizophrenia: A MetaAanalytic Review. Schizophr Bull,36: 1009—1019.
  62. Krupa T.,  Thornton J. 1986. The pleasure  deficit in  schizophrenia. Occupational Therapy in Mental Health, 6(2): 65—78.
  63. Kwapil T.R. 1998. Social  anhedonia  as a predictor of the development of schizophrenia-spectrum disorders. J Abn Psychol, 107(4): 558—565.
  64. Langdon R., Coltheart M. 1999. Mentalising, schizotypy, and schizophrenia. Cognition. 71: 43—71.
  65. Langdon R., Michie P.T., Ward P.B., McConaghy N., Catts S., Coltheart. M. 1997. Defective self and/or other mentalising in schizophrenia: A cognitive neuropsycho-logical approach. Cogn Neuropsychology, 2: 167—193.
  66. LaRusso L. 1978. Sensitivity of paranoid patients to nonverbal  cues. J Abn Psychol, 87: 463—471.
  67. Leslie A.M. 1992. Autism and the 'Theory of  mind'  module. Curr  Dir  Psychol Sci,1:18—21.
  68. Li  H., Chan R.C.K., McAlonan G.M., Gong Q. 2010.Facial Emotion Processing in Schizophrenia: A MetaAanalysis  of Functional Neuroimaging Data. Schizophr Bull, 36: 1029—1039.
  69. Malle B.F., Knobe J. 1997. The folk concept of intentionality. Journal of Experimental Social Psychology, 33 (2): 101—121.
  70. Mandal M.K., Jain A., Haque4Nizamie S., Weiss U., Schneider F. 1999. Generality and specificity of emotionArecognition deficit in schizophrenic patients with positive and negative symptoms. Psychiatry Res, 87: 39—46.
  71. Mazza M., DeRisio A., Surian L. et al. 2001. Selective impairments of theory of mind in people with schizophrenia. Schizophr Res, 47: 299—308.
  72. McCabe K.A., Smith V.L., LePore M. 2000. Intentionality detection and «mindreadA ing»: Why does game form matter? Proceedings of the National Academy of Sciences, 97:4404—4409.
  73. Meehl P.E. 1990. Toward an integrated theory of schizotaxia, schizotypy, and schizophrenia. J Personal Disord, 4:1—99.
  74. Meehl P.E. 2001. Primary and Secondary Hypohedonia. J Abn Psychol, 110(1): 188—193. Mueser K.T., Bellack A.S., Morrison R.L. et al. 1990. Gender, Social Competence and Symptomatology in Schizophrenia. A Longitudinal Analysis.  J Abn Psychol, 99: 138—147.
  75. Penn D., Combs D., Ritchie M. et al. 2000. Emotion recognition in schizophrenia: further investigation of generalized versus specific deficits  models. J Abn Psychol, 109: 512—516.
  76. Pilowsky  I.,  Bassett  D. 1980. Schizophrenia and the response  to facial emotions. Comprehensive Psychiatry, 21: 236—244.
  77. Premack D., Woodruff G. 1978. Does the chimpanzee  have a theory of mind? Behav. Brain Sci. 1, 515—526.
  78. Rauch A.V., Reker M., Ohrmann P. et al. 2010. Increased amygdala activation during automatic processing  of  facial emotion in  schizophrenia. Psychiatry Res, 182(3):200—206.
  79. Roder V., Medalia A. 2010.Neurocognition and social cognition in  schizophrenia patients. Basic concepts and treatment. Karger Publishers. 178 p.
  80. Romney D.M., Candido C.L. 2001. Anhedonia in depression and schizophrenia: a reexamination.  J Nerv Ment Dis, 189(11): 735—740.
  81. Roncone R., Falloon R.H., Mazza M. et al. 2002. Is theory of mind in schizophrenia more strongly associated with clinical and social functioning than with neurocogA nitive deficits? Psychopathology, 35: 280—288.
  82. Sachs G., Steger4Wuchse D., Krypsin4Exner I. et al. 2004. Facial recognition deficits and cognition in schizophrenia. Schizophr Res, 68: 27—35.
  83. Sarfati Y., Hardy4Bayle M.C., Nadel J., Chevalier J.F., Widlocher D. 1997. Attribution of mental  states to others in schizophrenic patients. Cogn Neuropsychyatry, 2: 1—17.
  84. Schneider, F., Gur, R. C., Koch, K. et al. 2006. Impairment in the specificity of emotion processing in schizophrenia. Am J Psychiatry,  163: 442 —447.
  85. Schurhoff F., Szoke A., Turcas C., Villemur M., Tignol J. 2003. Anhedonia in schizophrenia:  a distinct familial subtype? Schizophr Res, 61: 827—838. Social Cognition and Schizophrenia. 2001. Ed. P.W. Corrigan, D.L.  Penn, APA, Wash., DC, , 327 p.
  86. Sprong M., Schothorst P., Vos E. 2007. Theory of mind in schizophrenia. MetaAanalysis. Br J Psychiatry,  191: 5—1
  87. Strauss G.P., Gold J.M. 2012. A new perspective on anhedonia in schizophrenia. Am J Psychiatry, 169: 364—373.
  88. Turetsky B.I., Kohler C.G., Indersmitten T. et al. 2007. Facial emotion recognition in schizophrenia: when and why does it go awry? Schizophr Res, 94: 253—263.
  89. Walker E., Marwit S.J., Emory E. 1980. A crossAsectional study of emotion recognition in schizophrenics.  J Abn Psychol, 89: 428—436.
  90. Walker E., McGuire M., Bettes B. 1984. Recognition and identification of facial stimuli by schizophrenics and patients with affective disorders. Br J Clin Psychol, 23: 37—44.
  91. Walston F., Blennerhassett R.C., Charlton B.G. 2000. “Theory of mind,”  persecutory delusions and the somatic marker mechanism. Cogn Neuropsychiatry, 5: 161—174. Weniger G., Lange C., Ruther E., Irle E. 2004. Differential impairments of facial affect recognition in schizophrenia subtypes and major depression. Psychiatry Res, 128: 135—146.
  92. Wong C.T., Day J.D., Maxwell S.E., Meara N.M. 1995. A multitraitAmultimethod study of academic and social intelligence in college students. J Educational  Psychology, 87:117—133.
  93. Wykes T., Hamid S., Wagstaff K. 2001. Theory of mind and executive functions in the nonApsychotic siblings of patients with schizophrenia. Schizophr Res, 49:148.
  94. Ziv I., Leiser D., Levine J. 2011. Social cognition in schizophrenia: cognitive and affective factors. Cogn Neuropsychiatry, 16 (1): 71—91.

Information About the Authors

Olga V. Rychkova, Doctor of Psychology, Professor of the Department of clinical psychology and psychotherapy, Deputy Dean for Educational and Methodological Work, Moscow State University of Psychology & Education, Moscow, Russia, ORCID:, e-mail:



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